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Evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the COVID-19 pandemic

BACKGROUND: The impact of telehealth on cardiovascular care during the COVID-19 pandemic on patient satisfaction and factors associated with satisfaction are not well characterized. METHODS: We conducted a nonrandomized, prospective cross-sectional survey study for outpatient telehealth cardiovascul...

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Autores principales: Cho, David, Khalil, Suzan, Kamath, Megan, Wilhalme, Holly, Lewis, Angelica, Moore, Melissa, Nsair, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555179/
https://www.ncbi.nlm.nih.gov/pubmed/34729546
http://dx.doi.org/10.1016/j.cvdhj.2021.10.005
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author Cho, David
Khalil, Suzan
Kamath, Megan
Wilhalme, Holly
Lewis, Angelica
Moore, Melissa
Nsair, Ali
author_facet Cho, David
Khalil, Suzan
Kamath, Megan
Wilhalme, Holly
Lewis, Angelica
Moore, Melissa
Nsair, Ali
author_sort Cho, David
collection PubMed
description BACKGROUND: The impact of telehealth on cardiovascular care during the COVID-19 pandemic on patient satisfaction and factors associated with satisfaction are not well characterized. METHODS: We conducted a nonrandomized, prospective cross-sectional survey study for outpatient telehealth cardiovascular visits over a 169-day period utilizing a validated telehealth usability questionnaire. For each variable, patients were divided into 2 groups—1 with scores above the median, labeled “greater satisfaction,” and the other with scores below the median, labeled “less satisfaction.” RESULTS: A total of 13,913 outpatient telehealth encounters were successfully completed during the study period. A total of 7327 unique patients were identified and received a survey invitation; 5993 (81.8%) patients opened the invitation, and 1034 (14.1%) patients consented and completed the survey. Overall mean and median scores were 3.15 (standard deviation 0.74) and 3.37 (interquartile range 2.73–3.68) (maximum score 4.00). Greater satisfaction was noted among younger patients (mean age 63.3 ± 14.0 years, P = .005), female gender (46.3%, P = .007), non-White ethnicity (24.2% P = .006), self-identified early adopters and innovators of new technology (49.8%, P < .001), 1-way travel time greater than 1 hour (22.3%, P < .001), 1-way travel distance greater than 10 miles (49.0%, P < .001), patients needing child care arrangement (16.4%, P < .001), and history of orthotopic heart transplant (OHT) (5.1%, P = .04). CONCLUSION: Patients reported overall satisfaction with telehealth during the COVID-19 pandemic. Factors associated with patient convenience, along with female gender, younger age, and non-White ethnicity, correlated with greater satisfaction. Cardiovascular comorbidities did not correlate with greater satisfaction except for OHT. Further research into the impact of telehealth on patient satisfaction, safety, and clinical outcomes is needed.
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spelling pubmed-85551792021-10-29 Evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the COVID-19 pandemic Cho, David Khalil, Suzan Kamath, Megan Wilhalme, Holly Lewis, Angelica Moore, Melissa Nsair, Ali Cardiovasc Digit Health J Clinical BACKGROUND: The impact of telehealth on cardiovascular care during the COVID-19 pandemic on patient satisfaction and factors associated with satisfaction are not well characterized. METHODS: We conducted a nonrandomized, prospective cross-sectional survey study for outpatient telehealth cardiovascular visits over a 169-day period utilizing a validated telehealth usability questionnaire. For each variable, patients were divided into 2 groups—1 with scores above the median, labeled “greater satisfaction,” and the other with scores below the median, labeled “less satisfaction.” RESULTS: A total of 13,913 outpatient telehealth encounters were successfully completed during the study period. A total of 7327 unique patients were identified and received a survey invitation; 5993 (81.8%) patients opened the invitation, and 1034 (14.1%) patients consented and completed the survey. Overall mean and median scores were 3.15 (standard deviation 0.74) and 3.37 (interquartile range 2.73–3.68) (maximum score 4.00). Greater satisfaction was noted among younger patients (mean age 63.3 ± 14.0 years, P = .005), female gender (46.3%, P = .007), non-White ethnicity (24.2% P = .006), self-identified early adopters and innovators of new technology (49.8%, P < .001), 1-way travel time greater than 1 hour (22.3%, P < .001), 1-way travel distance greater than 10 miles (49.0%, P < .001), patients needing child care arrangement (16.4%, P < .001), and history of orthotopic heart transplant (OHT) (5.1%, P = .04). CONCLUSION: Patients reported overall satisfaction with telehealth during the COVID-19 pandemic. Factors associated with patient convenience, along with female gender, younger age, and non-White ethnicity, correlated with greater satisfaction. Cardiovascular comorbidities did not correlate with greater satisfaction except for OHT. Further research into the impact of telehealth on patient satisfaction, safety, and clinical outcomes is needed. Elsevier 2021-10-29 /pmc/articles/PMC8555179/ /pubmed/34729546 http://dx.doi.org/10.1016/j.cvdhj.2021.10.005 Text en © 2021 Heart Rhythm Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Clinical
Cho, David
Khalil, Suzan
Kamath, Megan
Wilhalme, Holly
Lewis, Angelica
Moore, Melissa
Nsair, Ali
Evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the COVID-19 pandemic
title Evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the COVID-19 pandemic
title_full Evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the COVID-19 pandemic
title_fullStr Evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the COVID-19 pandemic
title_full_unstemmed Evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the COVID-19 pandemic
title_short Evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the COVID-19 pandemic
title_sort evaluating factors of greater patient satisfaction with outpatient cardiology telehealth visits during the covid-19 pandemic
topic Clinical
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555179/
https://www.ncbi.nlm.nih.gov/pubmed/34729546
http://dx.doi.org/10.1016/j.cvdhj.2021.10.005
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